Fuller, Tierra

Fuller, Tierra is an sole proprietor health care provider with primary practice located at 5300 Angeles Vista Blvd , View Park CA 90043. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Fuller, Tierra can be contacted via phone (323) 295-4555.

Contact Information

Primary practice address
5300 Angeles Vista Blvd View Park CA 90043
Phone: (323) 295-4555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1669946372
LBN Legal business name Fuller, Tierra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2019
Last updated Jun 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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